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Clinical Information Support System (CISS)
,Clinical Information Support System (CISS) is a web-based portal application that provides a framework of services for the VA enterprise and supplies an integration point for its partner systems. The initial CISS partner system is the Occupational Health Record-keeping System (OHRS), a web-based application that enables employee occupational health staff to create, maintain, and monitor medical records for VA employees and generate national, Veterans Integrated Service Network (VISN), and site-specific reports.The CISS portal is development in the delivery of information and applications to the clinical user community. It provides a single point of access for the clinical user's application and information needs, facilitating faster and more efficient patient care.The CISS framework further establishes a foundation for publishing any type of application, including clinical, non-clinical, HealtheVet, and legacy applications. These plug-in applications, called 'partner systems', can be developed independently and published to the users through the CISS portal. The CISS Program development team uses repeatable Agile development, management and support processes to rapidly develop quality software in 6-month release cycles, improving efficiency and customer satisfaction.,
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Occupational Health Record-keeping System (OHRS)
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,Occupational Health Record-keeping System (OHRS) is part of the Clinical Information Support System (CISS) portal framework and the initial CISS partner system. OHRS is a web-based application that enables employee occupational health staff to create, maintain, and monitor medical records for VA employees and generate national, Veterans Integrated Service Network (VISN), and site-specific reports.The focus of OHRS is to collect clinical data for wellness, medical surveillance, and appropriate treatment of work-based injury or illness. OHRS will capture and store information on patient encounters, such as encounter type, purpose, status, provider, and other pertinent clinical data obtained during the patient visit. Users with appropriate security privileges are allowed to add and sign or co-sign the encounter and, if needed, perform scheduled and unscheduled reporting on items such as vaccination rates, vaccination and immunity statuses. The OHRS application does not share patient-specific data, but will collect data elements limited to information deemed critical to the Occupational Health delivery of care processes in the OHRS database. Employee data is obtained from the central Personnel and Accounting Integrated Data System (PAID) while volunteer information is obtained from the Voluntary Service System (VSS). Other Non-Paid and non-VSS data is collected by direct data entry into OHRS at the time of the patient encounter. OHRS is further designed to document, track and report immunizations administered to other Federal Agency employees outside of VA.,
National Health Care Practitioner Database (NHCPD)
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,This database is part of the National Medical Information System (NMIS). The National Health Care Practitioner Database (NHCPD) supports Veterans Health Administration Privacy Act requirements by segregating personal information about health care practitioners such as name and social security number from patient information recorded in the National Patient Care Database for Ambulatory Care Reporting and Primary Care Management Module.,
Patient Advocate Tracking System (PATS)
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,The Patient Advocate Tracking System (PATS) is a centralized, web based application that records and tracks instances of patient compliments and complaints concerning their care at VA health care facilities. These instances of patient contacts may come from a variety of sources including the patient, family members, congressional members and/or Veterans service organizations on behalf of the Veterans receiving care at VA facilities. This database provides a menu of reports that can be used to track and trend data across Veterans Integrated Service Networks (VISNs). Reports of contact allow the Patient Advocate to trend compliments and complaints, and ensure that issues raised are resolved. The reports include data such as patient demographics, date of contact, method of contact, who made the contact, issues involved, what service was involved, resolution date and resolution status. Data is collected from Veterans Affairs Medical Centers and sent to the VHA Support Service Center (VSSC) where the data is maintained and reports created.,
Corporate Data Warehouse (CDW)
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,The Veterans Health Administration (VHA) is increasingly dependent upon data. Most of its employees generate and use vast amounts of data on a daily basis. To improve our capacity for data analysis while providing the most efficient and the highest quality health care to our Veteran patients, VHA, working with the VA Office of Information and Technology, implemented a health data warehouse. Central to this plan is consolidating data from disparate sources into a coherent single logical data model. The Corporate Data Warehouse (CDW) is the physical implementation of this logical data model at the enterprise level for VHA. Although the CDW initially began to store data as early as 2006, a renewed effort began in 2010 to accelerate CDW's content by including more subject areas from Veterans Health Information Systems and Technology Architecture (VistA) and content from other existing national data systems. CDW supports fully developed subject areas in its production environment as well as supporting rapid prototyping by extracting data directly from source systems with very minor data transformations. The Regional Data Warehouses and the Veterans Integrated Service Network (VISN) Data Warehouses share content from CDW and allow for greater reporting flexibility at the local level throughout the VHA organization.,
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Performance and Operational Web-Enabled Reports (POWER)
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,The Performance and Operational Web-Enabled Reports (POWER) system is a state-of-the-art data warehouse containing data on Veterans Health Administration (VHA) performance metrics that are obtained daily from the individual Veterans Health Information Systems and Technology Architecture (VistA) systems.The POWER system was developed to measure the key performance indicators across VHA facilities and is helping to improve VHA's Medical Care Collections Fund (MCCF) revenue operational performance by providing accurate, reliable, and up-to-date performance measure information. POWER leverages a data warehouse to maintain data used in VHA performance measure calculations. The site provides Web-based analytical reporting capabilities, allowing users to view data by dimensions, such as, National, Consolidated Patient Account Center (CPAC), Veterans Integrated Service Network (VISN), or Station locations and by month. The data can also be displayed in tables, graphs and spreadsheets. It should be noted that POWER is not an accounting system; rather, it is a strategic and operational performance reporting system.The POWER system supports VHA's efforts to improve its revenue business operations by providing accurate and reliable performance information on the following metrics: Collections, Gross Days Revenue Outstanding (GDRO), Percentage of Accounts Receivable (AR) Greater than 90 Days, Days to Bill, Total Billings, Percentage of Collections to Billings, and Cost to Collect. POWER is VHA's revenue performance metric dashboard monitoring system that tracks MCCF performance by National, CPAC, VISN and Station.,
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